Takedown of Nissen Fundoplication
Consandre P Romain, MD, Benjamin Biteman, MD. Mercy Health Youngstown31 y/o who was seen 6 months prior with gastroesophageal reflux disease refractory today medical therapy. He had work up including EGD, esophagram, manometry which ruled out motility disorders and pH monitoring. He underwent a Nissen fundoplication. He had persistent dysphagia postoperatively with EGD and esophagram without… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
THE PARTICIPATION OF SURGEONS IN DIAGNOSTIC WORKUP OF GASTROESOPHAGEAL REFLUX DISEASE INCREASES UTILIZATION OF ANTI-REFLUX SURGERY.
Medhat Fanous, MD, FACS, Anja Jaehne, MD, David Lorenson, RN, Amanda Lambert, RN, Sarah Williams, RN. Aspirus Health SystemIntroduction: Patients presenting with putative symptoms of gastroesophageal reflux disease (GERD) are usually evaluated by gastroenterologists who perform the diagnostic workup and determine when to refer for surgical consideration. The multiple diagnostic studies can be overwhelming and leads… Continue Reading
The Registry of Anti-Reflux Surgery (ROARS) Results Of 1173 Patients At 1 Year
Elisa Furay, MD1, SD Doggett, PA1, K Freeman, NP2, Francis P Buckley, MD1, R Bell, MD2. 1Dell Medical School at The University of Texas at Austin l, 2Institute for Esophageal and Reflux SurgeryObjective: Prospectively collected data from the Registry of Anti-Reflux Surgery (ROARS) were used to evaluate patient reported outcomes after laparoscopic magnetic sphincter augmentation… Continue Reading
THE RELATIONSHIP BETWEEN GASTROESOPHAGEAL JUNCTION INTEGRITY AND SYMPTOMATIC FUNDOPLICATION OUTCOMES
Brexton Turner, BS, Melissa Helm, Emily Hetzel, Max Schumm, Jon Gould. Medical College of WisconsinBackground: Satisfaction rates following laparoscopic fundoplication for gastroesophageal reflux (GERD) may vary based on the integrity of the gastroesophageal junction (GEJ) at the time of surgery. We hypothesized that patients with a competent GEJ do not fare as well following fundoplication… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
The role and the feasibility of single incision laparoscopic surgery in the SBO operation
Yozo Suzuki, MD, PhD, Masahisa Ohtsuka, MD, PhD, Manabu Mikamori, MD, PhD, Takuro Saito, MD, PhD, Kenta Furukawa, MD, PhD, Mitsunobu Imasato, MD, PhD, Kentaro Kishi, MD, PhD, Masahiro Tanemura, MD, PhD, Hiroki Akamatsu, MD, PhD. Osaka Police HospitalBACKGROUND: Small bowel obstruction (SBO) has a variety of backgrounds and its operation procedure is often modified… Continue Reading
THE TIP OF THE ICEBERG: AN UNUSUAL CASE OF DIAPHRAGMATIC HERNIA PRESENTING AS A BREAST ABSCESS
Victoria Needham, MD, Alexandra Argiroff, MD, Diego Camacho, MD. Montefiore Medical CenterINTRODUCTION: While many diaphragmatic hernias (congenital or acquired) are asymptomatic, they may also present with subacute symptoms such as pain or dypsnea, or as a surgical emergency via organ strangulation. This case scenario illustrates an atypical presentation of a perforated viscus within the hernia… Continue Reading
The utility of MII testing in making surgical decisions
Matt Glasgow1, Christy M Dunst, MD2, Walaa Abdelmoaty, MD3, Rosen Ilchev, BA3, Naly Setthavongsack4, Hannah Creasey5, Daniel Davilla Bradley, MD2, Kevin M Reavis, MD2, Lee L Swanstrom, MD2, Steve R Demeester, MD2. 1Bates College, 2The Oregon Clinic, 3Providence Portland Medical Center, 4Portland State University, 5Lewis and Clark CollegeIntroduction: Abnormal esophageal acid exposure, as measured by… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
The value of a negative preop Restech test for postop results – Gastrointestinal function testing using the new minimally invasive laryngopharyngeal PH probe
Dolores T Mueller, Laura Knepper, Florian Gebauer, Wolfgang Schröder, Christiane J Bruns, Jessica M Leers, Hans F Fuchs. University of Cologne, Department of SurgeryIntroduction: Laryngopharyngeal pH-monitoring (Restech) is a relatively new reflux testing device that needs more validation. It was developed to detect both liquid and acidic gas vapor, and the pharyngeal probe placement may… Continue Reading
Third-Time “Redo” Anti-Reflux Surgery: An Operation Needing a Scalpel
Nikhil Panda, MD, Christopher R Morse, MD, David W Rattner, MD. Massachusetts General HospitalBackground: Approximately 3-6% of patients undergoing anti-reflux surgery require “redo” surgery for persistent gastroesophageal reflux disease (GERD). Further surgery for patients with two failed prior anti-reflux operations is controversial due to the morbidity of reoperation and poor reported results. We therefore examined our… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Thoracolaparoscopic Oesophagectomy for end stage Achalasia
S Velmurugan, HOD of GI and Lap Surgery, R Archana, B Kasi Viswanath. kauvery hospital, Trichy, India62 year old male presented with dysphagia, cough, loss of weight and appetite. There was history of recurrent pneumonitis due to repeated aspiration. He was diagnosed to have achalasia cardia few years before this presentation. He had already undergone… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Thoracoscopic pericardial patch closure of iatrogenic tracheal injury during esophagectomy
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaIntroduction: Iatrogenic tracheo-bronchial injury is an uncommon complication following esophagectomy with a reported incidence of 0.6-10% 1-3. Repair of a tracheal injury encountered in a patient during thoracoscopic esophagectomy in prone position is reported. Methods: Fifty six year old lady… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Three-dimensional (3D) visualization provides better outcome in single-port laparoscopic distal gastrectomy
So Hyun Kang, Yo-Seok Cho, Sa-Hong Min, Young Suk Park, Sang-Hoon Ahn, Do Joong Park, Hyung-Ho Kim. Seoul National University Bundang HospitalIntroduction: The use of a three-dimensional (3D) camera for laparoscopic surgery has been reported in literature. However, there are only few comparative studies demonstrating its benefits, and no reports on the application of 3D… Continue Reading
Total gastrectomy with Roux-en-Y reconstruction for neuroendocrine gastric neoplasm.
Rene Aleman, MD, Joel S Frieder, MD, Carlos Rivera, MD, Federico Serrot, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaNeuroendocrine tumors of the stomach are a less common type of gastric neoplasms reported in 8.7% of gastric. We present the case of a 69-year-old male with a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Totally Laparoscopic Distal Esophagectomy with No Cervical or Thoracic access: A case series
Erik A Green, MD, MPH, Kais Rona, MD, Christopher Ducoin, MD, MPH. Tulane UniversityBackground: Esophagectomy remains a mainstay of treatment for esophageal malignancies as well as for refractory benign disease. Advances in laparoscopic and thoracosopic surgery have helped promote a variety of minimally invasive esophageal resection procedures. All of these, however, require a thoracic and/or neck… Continue Reading
Tumor deposits counted as positive lymph nodes in stage III gastric cancer: a novel N category in TNM staging
Wenquan Liang, Kecheng Zhang, Hongqing Xi, Jianxin Cui, Aizhen Cai, Jiyang Li, Yunhe Gao, Xiaosong Wu, Xinxin Wang, Bo Wei, Lin Chen. Chinese PLA General HospitalBACKGROUND: Tumor deposits (TDs) are defined as satellite tumor nodules without histologic evidence of residual lymph node in peritumoral or regional lymph node areas. TD are markers of poor prognosis in… Continue Reading